Diabetes Distress and Self-Efficacy Mediate the Relationship Between Family Function and Coping in Young and Middle-Aged Patients with Type 2 Diabetes Mellitus.
Yulian Wei, Jingyue Zhang, Xia Tai, Shan Weng, Yan Wang, Guohong Zhu
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引用次数: 0
Abstract
Aim: To explore the parallel mediating effects of diabetes distress and self-efficacy on the relationship between family function and coping and adaptation ability in young and middle-aged patients with type 2 diabetes mellitus (T2DM).
Methods: From February to December 2023, a convenience sample of 236 young and middle-aged patients with T2DM was recruited from the endocrinology departments of two tertiary hospitals. Questionnaires were administered to collect sociodemographic and disease characteristics, the short version of the Coping and Adaptation Processing Scale (CAPS-SF-C), the Adaptation, Partnership, Growth, Affection, and Resolve (APGAR), the Diabetes Distress Scale (DDS), and the Self-Efficacy for Diabetes (SED). The SPSS 26.0 software was used for univariate analysis and Pearson correlation analysis. Model 4 of the SPSS macro program Process v3.4.1 was used to assess parallel mediation effects, with Bootstrap resampling set to 5,000 iterations.
Results: Pearson correlation analysis revealed that coping and adaptation ability was positively associated with family function (r=0.545, P < 0.01) and self-efficacy (r=0.578, P < 0.01) and negatively associated with diabetes distress (r=-0.508, P < 0.01). Additionally, diabetes distress and self-efficacy were found to play a parallel mediation between family function and coping and adaptation ability. The indirect effect of self-efficacy (0.081), and the indirect effect of diabetes distress (0.065) accounted for 19.06%, and 15.29% of the total effect (0.466).
Conclusion: As the first study confirming dual-channel mediation in this population, we demonstrate that diabetes distress and self-efficacy functioned as parallel mediators in the relationship between family function and coping and adaptation ability. Healthcare professionals are encouraged to incorporate family-focused interventions into the management of T2DM. Reducing psychological stress and routinely monitoring self-efficacy levels are crucial for enhancing patients' coping and adaptation ability.
目的：探讨糖尿病窘迫和自我效能感在中青年2型糖尿病（T2DM）患者家庭功能与应对适应能力关系中的平行中介作用。方法：于2023年2月至12月，从两所三级医院内分泌科招募236例中青年T2DM患者作为方便样本。通过问卷调查收集社会人口学和疾病特征、简短版应对与适应加工量表（CAPS-SF-C）、适应、伙伴关系、成长、情感和解决（APGAR）、糖尿病困扰量表（DDS）和糖尿病自我效能感（SED）。采用SPSS 26.0软件进行单因素分析和Pearson相关分析。采用SPSS宏程序Process v3.4.1的模型4评估并行中介效应，Bootstrap重采样设置为5000次迭代。结果：Pearson相关分析显示，应对和适应能力与家庭功能（r=0.545, P < 0.01）、自我效能感（r=0.578, P < 0.01）呈正相关，与糖尿病困扰（r=-0.508, P < 0.01）呈负相关。此外，糖尿病困扰和自我效能感在家庭功能与应对和适应能力之间起平行中介作用。自我效能感的间接影响（0.081）和糖尿病困扰的间接影响（0.065）分别占总影响的19.06%和15.29%（0.466）。结论：本研究首次在该人群中证实了糖尿病痛苦和自我效能在家庭功能与应对和适应能力的关系中起平行中介作用。鼓励医疗保健专业人员将以家庭为中心的干预措施纳入2型糖尿病的管理。减轻心理压力和常规监测自我效能感水平是提高患者应对和适应能力的关键。
期刊介绍：
An international, peer-reviewed, open access, online journal. The journal is committed to the rapid publication of the latest laboratory and clinical findings in the fields of diabetes, metabolic syndrome and obesity research. Original research, review, case reports, hypothesis formation, expert opinion and commentaries are all considered for publication.
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